FRIENDS OF THE SHELTER ISLAND PUBLIC LIBRARY

crowd of people running into the water, man holding leash on brown dog — TURKEY PLUNGE REGISTRATION

If you wish to pay by check, please click here for a printable form that can be mailed in (Adobe Acrobat Reader is required).

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

REGISTRATION FEE IS $25.00 ($30.00 on day of event)

PLEASE SELECT T-SHIRT SIZE

ADDITIONAL REGISTRANTS (if applicable)

Please Enter Name and T-Shirt Size - Each Entrant Is $25.00 ($30.00 on day of event)

Waiver Participant Signature and Parent/Guardian Signature (if under the age of 18)

I understand that there are risks inherent in participation and I agree to release and waive liability for The Friends of the Shelter Island Public Library Society, Inc. and I agree to assume risk for participation in this event.

Total

Total Donation For All Applicants Listed Above

$

FRIENDS OF THE SHELTER ISLAND PUBLIC LIBRARY

TURKEY PLUNGE REGISTRATION

Hours of Operation:
Monday - Friday: 9:30 am - 7:00 pm
Saturday: 9:30 am - 5:00 pm
CLOSED SUNDAYS

Shelter Island Public Library
P.O. Box 2016 - 37 North Ferry Road
Shelter Island, New York 11964
Phone: 631-749-0042 - Fax: 631-749-1575
info@shelterislandpubliclibrary.org

Notice of Accessibility

FRIENDS OF THE SHELTER ISLAND PUBLIC LIBRARY

TURKEY PLUNGE REGISTRATION

Hours of Operation:Monday - Friday: 9:30 am - 7:00 pmSaturday: 9:30 am - 5:00 pmCLOSED SUNDAYS

Shelter Island Public Library P.O. Box 2016 - 37 North Ferry RoadShelter Island, New York 11964 Phone: 631-749-0042 - Fax: 631-749-1575info@shelterislandpubliclibrary.org

Notice of Accessibility

Hours of Operation:
Monday - Friday: 9:30 am - 7:00 pm
Saturday: 9:30 am - 5:00 pm
CLOSED SUNDAYS

Shelter Island Public Library
P.O. Box 2016 - 37 North Ferry Road
Shelter Island, New York 11964
Phone: 631-749-0042 - Fax: 631-749-1575
info@shelterislandpubliclibrary.org